Page 1 of 2

DEPARTMENT FOR ENVIRONMENT, FOOD AND RURAL AFFAIRS

SCOTTISH GOVERNMENT

WELSH GOVERNMENT

DEPARTMENT OF AGRICULTURE, ENVIRONMENT AND RURAL AFFAIRS - NORTHERN IRELAND

Veterinary Health Certificate for Live Fish, Fertilized Eggs, and Gametes of 

Tilapia Lake Virus (TiLV) – Susceptible Species to the United States

Veterinary Authority:*

Scottish Government

Certificate Number:*

Date of Issue:* U.S. Import Permit Number:*

1. Consignor (Name & Address):* 2. Consignee (Name & Address):*

3. Country of Origin:*

Scotland 

4. Destination in United States (Name & Address):*

5. City/Region of Origin: 6. Route of Travel:*

7. Port of Embarkation/Border Crossing:* 8. Means of Transport:*

9. Estimated Date of Shipment:* 10. Estimated Date of Arrival:*

11. Description of Commodity: 12. Date of Veterinary Inspection in Country of Origin:*

13. Total Quantity of Animals:* 14. Total Number of Packages/Containers:*

15. Commodity Intended Use:*

 BREEDING CULTURE/GROW OUT RESEARCH 

16. Identification of Commodity:*

Scientific Name (Genus species)* Common Name* Sex Quantity* 

*Indicates required information

UNOFFICIAL COPY
Page 2 of 2

Veterinary Health Certificate for Live Fish, Fertilized Eggs, and Gametes of 

Tilapia Lake Virus (TiLV) – Susceptible Species to the United States

Veterinary Authority:*

Scottish Government

Date of Issue:* Certificate Number:*

I, the undersigned official veterinarian or fish health inspector of the competent authority, certify that 

the live animals described above meet the following conditions: 

1. EITHER A. Tilapia from this population to be exported tested negative for TiLV within thirty (30) 

days prior to export per the World Organisation for Animal Health (OIE) OR a 

laboratory testing method reviewed and approved by the USDA prior to export. 

Sampling procedures used an assumed pathogen prevalence of two (2) percent, with a 

corresponding confidence level of ninety-five (95) percent. AND

B. Samples were collected by a fish health inspector representing the competent 

authority. 

 OR A. The facility of origin participates in an ongoing TILV monitoring program for species 

susceptible to TILV, by testing negative twice annually for a minimum of two (2) 

consecutive years, with at least three (3) months between tests. AND 

B. Populations were sampled utilizing an assumed pathogen prevalence of two (2) percent, 

with a corresponding confidence level of ninety-five (95) percent, and found negative for 

TILV. AND 

C. Samples were collected by a fish health inspector representing the competent authority, 

and tested per the World Organisation of Animal Health (OIE) OR a laboratory testing 

method reviewed and approved by the USDA prior to export. 

2. No OIE-listed disease(s) affecting tilapia was/were reported at the premises of origin within sixty 

(60) days prior to export.

3. The tilapia originate in the exporting country OR were legally imported and verified to be of equal 

health status before entering the population for export.

4. The tilapia were inspected by an official veterinarian or fish health inspector of the exporting 

country’s competent authority within seventy-two (72) hours prior to export, and showed no clinical 

signs of disease. 

5. All shipping containers are new, OR have been properly cleaned and disinfected prior to use. 

6. The shipment will ship directly to the United States with no stops en route other than those 

provided for on the USDA import permit. 

************************************************************************************************************

************************************************************************************************************

After the animal inspection, this health certificate is valid for seventy-two (72) hours prior to export. 

Printed Name of Certifying Official:

Signature of Certifying Official:

Designation of Certifying Official: Stamp:

Date:

UNOFFICIAL COPY